Individual
DR. MEGHAN ELIZABETH BEACH MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
501 6TH AVE S, SAINT PETERSBURG, FL 33701-4634
(727) 767-8480
(727) 767-8420
Mailing address
501 6TH AVE S, SAINT PETERSBURG, FL 33701-4634
(727) 767-8480
(727) 767-8420
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
270073-1
NY
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
120776
FL
390200000X
Student in an Organized Health Care Education/Training Program
TRN14989
FL
Other
Enumeration date
06/08/2010
Last updated
06/16/2016
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